Organization
GREGORY C. MICHAELS D.D.S., M.S. ORAL & MAXILLOFACIAL SURGERY,INC.
Active
Other names
Michaels Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY CHARLES MICHAELS DDS (PRESIDENT)
(740) 654-6628
Entity
Organization
Contact information
Practice address
823 N COLUMBUS ST, LANCASTER, OH 43130-2549
(740) 654-6628
(740) 654-6578
Mailing address
823 N COLUMBUS ST, LANCASTER, OH 43130-2549
(740) 654-6628
(740) 654-6578
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30019438
OH
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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